Mr. Kerry Cooper, CASAC
Mr. Kerry Cooper, CASAC is an Addiction (Substance Use Disorder) Counselor in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
3584 Jerome AveBronx, NY 10467-1006
Phone: (718) 653-1537
Fax: (718) 882-1426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (NY) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 12174 (NY) |
Record details
| NPI number | 1710056726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CASAC |
| Sole proprietor | No |
| NPI enumerated | November 6, 2006 |
| Last updated in NPPES | March 13, 2009 |
| Mailing address | Po Box 31094, Hartford, CT 06154-0001 |
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